Provider Demographics
NPI:1962594309
Name:FEINER, JEFFREY F (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:F
Last Name:FEINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24411 HEALTH CENTER DR
Mailing Address - Street 2:SUITE 550
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653
Mailing Address - Country:US
Mailing Address - Phone:949-770-6252
Mailing Address - Fax:949-916-0140
Practice Address - Street 1:24411 HEALTH CENTER DR
Practice Address - Street 2:SUITE 550
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:949-770-6252
Practice Address - Fax:949-916-0140
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG36977207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA46893Medicare UPIN
CAWG36977EMedicare PIN